MORPHOMETRIC INDICATORS OF THE MEMBRANES OF THE VAGINAL PROCESS OF THE PERITONEUM IN CHILDREN OF DIFFERENT AGE GROUPS

Abstract

Background. According to statistics, such diseases as inguinal hernia, testicular hydrocele are the causes of infertility. The anatomical basis for the occurrence of these nosologies is a violation of the process of obliteration of the processus vaginalis of the peritoneum. It was found that the presence of smooth muscle elements in its wall is the morphological basis for the preservation of patency in the processus vaginalis of the peritoneum. Aim. The purpose of the work was to improve scientific data on the etiology of diseases that occur as a result of the violation of the obliteration of the processus vaginalis of the peritoneum, with further use of the obtained knowledge to improve the quality of surgical correction of pathological conditions. Materials and methods. Children with diagnosed inguinal hernias and testicular hydrocele were treated surgically (Duhamel and Ross operations were performed). During the surgical correction, the wall fragments of the processus vaginalis of the peritoneum were selected for further histological examination. The obtained samples of histological preparations were studied in order to evaluate the morphometric criteria. Morphometric analysis criteria: relative area of muscle tissue, relative area of adipose tissue, relative area of fibrous tissue, thickness of muscle fibers, cross-sectional area of muscle fiber. Results. All children were divided into groups by gender and age. In each age group (first year of life, first three years of life, first five years of life and first seven years of life) an increase in both relative and absolute morphometric indicators was observed. The same tendency of the results was observed in both the male and female parts of the studied children. Conclusions. Therefore, the probability of independent obliteration of the processus vaginalis of the peritoneum increases inversely proportionally with the age of the child, that is, the younger the age of the child, the greater the probability of independent obliteration of the processus vaginalis of the peritoneum.